Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
  • C07D417/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings
  • C07D417/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
  • A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
  • A61K31/4436—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a heterocyclic ring having sulfur as a ring hetero atom
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/12—Antivirals
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
  • A61P31/12—Antivirals
  • A61P31/14—Antivirals for RNA viruses

Definitions

• the present invention provides heteroaryl substituted thiazolo compounds.
• the invention also includes methods for preparing such compounds.
• the present invention further includes pharmaceutical compositions containing heteroaryl substituted thiazolo compounds and methods for using such compounds, including methods for using the compounds to treat hepatitis C infection.
• Hepatitis C Virus is one of the most prevalent causes of chronic liver disease in the United States, reportedly accounting for about 15 percent of acute viral hepatitis, 60 to 70 percent of chronic hepatitis, and up to 50 percent of cirrhosis, end-stage liver disease, and liver cancer.
• Chronic HCV infection is the most common cause of liver transplantation in the U.S., Australia, and most of Europe.
• Hepatitis C causes an estimated 10,000 to 12,000 deaths annually in the United States. While the acute phase of HCV infection is usually associated with mild symptoms, some evidence suggests that only about 15% to 20% of infected people will clear HCV.
• HCV is an enveloped, single-stranded RNA virus that contains a positive-stranded genome of about 9.6 kb.
• HCV is classified as a member of the Hepacivirus genus of the family Flaviviridae. At least 4 strains of HCV, GT-1-GT-4, have been characterized.
• the HCV lifecycle includes entry into host cells; translation of the HCV genome, polyprotein processing, and replicase complex assembly; RNA replication, and virion assembly and release. Translation of the HCV RNA genome yields a more than 3000 amino acid long polyprotein that is processed by at least two cellular and two viral proteases.
• the HCV polyprotein is:
• the cellular signal peptidase and signal peptide peptidase have been reported to be responsible for cleavage of the N-terminal third of the polyprotein (C-E1-E2-p7) from the nonstructural proteins (NS2-NS3-NS4A-NS4B-NS5A-NS5B).
• the NS2-NS3 protease mediates a first cis cleavage at the NS2-NS3 site.
• the NS3-NS4A protease then mediates a second cis-cleavage at the NS3-NS4A junction.
• the NS3-NS4A complex then cleaves at three downstream sites to separate the remaining nonstructural proteins. Accurate processing of the polyprotein is asserted to be essential for forming an active HCV replicase complex.
• the replicase complex comprising at least the NS3-NS5B nonstructural proteins assembles.
• the replicase complex is cytoplasmic and membrane-associated.
• Major enzymatic activities in the replicase complex include serine protease activity and NTPase helicase activity in NS3, and RNA-dependent RNA polymerase activity of NS5B.
• RNA replication process a complementary negative strand copy of the genomic RNA is produced.
• the negative strand copy is used as a template to synthesize additional positive strand genomic RNAs that may participate in translation, replication, packaging, or any combination thereof to produce progeny virus.
• Assembly of a functional replicase complex has been described as a component of the HCV replication mechanism. Provisional application 60/669,872 “Pharmaceutical Compositions and Methods of Inhibiting HCV Replication” filed Apr. 11, 2005, is hereby incorporated by reference in its entirety for its disclosure related to assembly of the replicase complex.
• the present invention includes compounds of Formula I and II and pharmaceutically acceptable salts thereof.
• A is a mono- or -bicyclic group of the formula:
• Q is O, S, N, CH 2 , or absent; and X is N or CH; Y is N or CH; and not more that 1 of X and Y are N.
• R represents 0 or 1 or more substituents independently chosen from
• any two R groups, covalently bound to adjacent atoms, may be joined to form a 5-membered heterocyclic group containing 1 or 2 additional heteroatoms independently chosen from N, O, and S, wherein the 5-membered heterocyclic group is optionally substituted.
• R 1 is absent, oxygen, or C 1 -C 4 alkyl.
• R and R 1 may be joined to form a 5-membered heterocyclic group containing 1 or 2 additional heteroatoms independently chosen from N, O, and S, wherein the 5-membered heterocyclic group is optionally substituted, when R and R 1 are bound to adjacent carbon atoms.
• R 2 is 0 or 1 or more substituents independently chosen from
• R 3 is hydrogen, halogen, hydroxyl, amino, cyano, C 1 -C 2 alkyl, or (mono- or di-C 1 -C 2 alkylamino)C 0 -C 2 alkyl.
• R 4 is hydrogen, amino, or R 4 is C 1 -C 6 alkyl, C 2 -C 6 alkenyl, mono- or di-C 1 -C 6 alkylamino, or C 2 -C 6 alkenylamino, each of which alkyl or alkenyl chain contains 0 or 1 to 4 oxygen atoms and each of which is substituted with 0 or 1 or more of amino, hydroxyl, —COOH, C 1 ⁇ C 4 alkoxy, mono- and di-C 1 -C 4 alkylamino, mono- and di-C 1 -C 4 alkylcarboxamide, and C 1 -C 4 alkylester.
• R 5 and R 6 are L and M, where one of R 5 and R 6 is L and the other is M, or wherein:
• M is mono- or bicyclic carbocycloxy, or 5- or 6-membered heteroaryloxy, each of which contains 0, 1, or 2 heteroatoms chosen from N, O, and S and is substituted with 0 or 1 or more halogen, hydroxyl, cyano, C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, mono- or di-C 1 -C 4 alkylamino, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy.
• R 5 and R 6 are taken together to form a 5- or 6-membered carbocyclic or heterocyclic ring, which is saturated, partially unsaturated, or aromatic, and is substituted with 0, 1, or 2 substituents independently chosen from halogen, hydroxyl, amino, cyano, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 1 -C 10 alkoxy, and optionally substituted (phenyl)C 0 -C 4 alkyl.
• R 7 is 0 or 1 or more substituents independently chosen from halogen, hydroxyl, amino, cyano, C 1 -C 2 alkyl, C 1 -C 2 alkoxy, C 1 -C 2 haloalkyl, and C 1 -C 2 haloalkoxy.
• the invention includes pharmaceutical compositions comprising a compound of the invention or a salt thereof, containing at least one pharmaceutically acceptable carrier.
• the invention also includes pharmaceutical compositions comprising a compound of the invention and containing at least one additional active agent.
• the invention includes packaged pharmaceutical compositions comprising a compound of the invention in a container and further comprising instructions for using the composition to treat a patient infected with a hepatitis C virus or susceptible to infection with a hepatitis C virus.
• the invention provides a method for treating or preventing hepatitis C infection comprising providing an effective amount of a compound or salt of the invention to a patient in need of such treatment or prevention.
• a method of inhibiting HCV replication in vivo comprising administering to a patient infected with HCV a concentration of a compound or salt of the invention sufficient to inhibit HCV replicon replication in vitro is also included in the invention.
• Formula I and II include all subformulae thereof.
• Formula I includes compounds of Formulas III to V and the pharmaceutically acceptable salts, prodrugs and other derivatives, hydrates, and polymorphs, thereof.
• an “active agent” means a compound (including a compound of the invention), element, or mixture that when administered to a patient, alone or in combination with another compound, element, or mixture, confers, directly or indirectly, a physiological effect on the patient.
• the indirect physiological effect may occur via a metabolite or other indirect mechanism.
• the active agent is a compound, then salts, solvates (including hydrates) of the free compound, crystalline forms, non-crystalline forms, and any polymorphs of the compound are included.
• Compounds may contain one or more asymmetric elements such as stereogenic centers, stereogenic axes and the like, e.g., asymmetric carbon atoms, so that the compounds can exist in different stereoisomeric forms.
• These compounds can be, for example, racemates or optically active forms.
• these compounds can additionally be mixtures of diastereomers.
• all optical isomers in pure form and mixtures thereof are encompassed.
• compounds with carbon-carbon double bonds may occur in Z- and E-forms, with all isomeric forms of the compounds.
• the single enantiomers, i.e., optically active forms can be obtained by asymmetric synthesis, synthesis from optically pure precursors, or by resolution of the racemates.
• Racemates can also be accomplished, for example, by conventional methods such as crystallization in the presence of a resolving agent, or chromatography, using, for example a chiral HPLC column. All forms are contemplated herein regardless of the methods used to obtain them.
• the compounds of the invention may contain one or more asymmetric elements such as stereogenic centers, including chiral centers, stereogenic axes and the like, e.g. asymmetric carbon atoms, so that the compounds can exist in different stereoisomeric forms.
• asymmetric elements such as stereogenic centers, including chiral centers, stereogenic axes and the like, e.g. asymmetric carbon atoms, so that the compounds can exist in different stereoisomeric forms.
• These compounds can be, for example, racemates or optically active forms.
• these compounds with two or more asymmetric elements these compounds can additionally be mixtures of diastereomers.
• compounds having asymmetric centers it should be understood that all of the optical isomers and mixtures thereof are encompassed.
• compounds with carbon-carbon double bonds may occur in Z- and E-forms, with all isomeric forms of the compounds being included in the present invention.
• Formula I and II include all chiral forms, stereoisomers, diastereomers, and enantio
• chiral refers to molecules, which have the property of non-superimposability of the mirror image partner.
• Stepoisomers are compounds, which have identical chemical constitution, but differ with regard to the arrangement of the atoms or groups in space.
• Diastereomer is a stereoisomer with two or more centers of chirality and whose molecules are not mirror images of one another. Diastereomers have different physical properties, e.g., melting points, boiling points, spectral properties, and reactivities. Mixtures of diastereomers may separate under high resolution analytical procedures such as electrophoresis, crystallization in the presence of a resolving agent, or chromatography, using, for example a chiral HPLC column.
• Enantiomers refer to two stereoisomers of a compound, which are non-superimposable mirror images of one another.
• a 50:50 mixture of enantiomers is referred to as a racemic mixture or a racemate, which may occur where there has been no stereoselection or stereospecificity in a chemical reaction or process.
• racemic mixture or “racemate” is an equimolar (or 50:50) mixture of two enantiomeric species, devoid of optical activity.
• a racemic mixture may occur where there has been no stereoselection or stereospecificity in a chemical reaction or process.
• the invention includes compounds of the invention having all possible isotopes of atoms occurring in the compounds.
• Isotopes include those atoms having the same atomic number but different mass numbers.
• isotopes of hydrogen include tritium and deuterium and isotopes of carbon include 11 C, 13 C, and 14 C.
• substituted means that any one or more hydrogens on the designated atom or group is replaced with a selection from the indicated group, provided that the designated atom's normal valence is not exceeded.
• substituent is oxo (i.e., ⁇ O)
• 2 hydrogens on the atom are replaced.
• aromatic moieties are substituted by an oxo group
• the aromatic ring is replaced by the corresponding partially unsaturated ring.
• a pyridyl group substituted by oxo is a pyridone.
• Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds or useful synthetic intermediates.
• a stable compound or stable structure is meant to imply a compound that is sufficiently robust to survive isolation from a reaction mixture, and subsequent formulation into an effective therapeutic agent.
• a dash (“-”) that is not between two letters or symbols is used to indicate a point of attachment for a substituent.
• —(CH 2 )C 3 -C 7 cycloalkyl is attached through carbon of the methylene (CH 2 ) group.
• Alkyl includes both branched and straight chain saturated aliphatic hydrocarbon groups, having the specified number of carbon atoms, generally from 1 to about 12 carbon atoms.
• the term C 1 -C 6 alkyl as used herein indicates an alkyl group having from 1 to about 6 carbon atoms.
• C 0 -C n alkyl is used herein in conjunction with another group, for example, (phenyl)C 0 -C 4 alkyl
• the indicated group in this case phenyl, is either directly bound by a single covalent bond (C 0 ), or attached by an alkyl chain having the specified number of carbon atoms, in this case from 1 to about 4 carbon atoms.
• alkyl examples include, but are not limited to, methyl, ethyl, n-propyl, isopropyl, n-butyl, 3-methylbutyl, t-butyl, n-pentyl, and sec-pentyl.
• Alkanoyl is an alkyl group as defined above, attached through a keto (—(C ⁇ O)—) bridge. Alkanoyl groups have the indicated number of carbon atoms, with the carbon of the keto group being included in the numbered carbon atoms. For example a C 2 alkanoyl group is an acetyl group having the formula CH 3 (C ⁇ O)—.
• Alkenyl means straight and branched hydrocarbon chains comprising one or more unsaturated carbon-carbon bonds, which may occur in any stable point along the chain. Alkenyl groups described herein typically have from 2 to about 12 carbons atoms. Preferred alkenyl groups are lower alkenyl groups, those alkenyl groups having from 2 to about 8 carbon atoms, e.g. C 2 -C 8 , C 2 -C 6 , and C 2 -C 4 alkenyl groups. Examples of alkenyl groups include ethenyl, propenyl, and butenyl groups.
• Alkoxy means an alkyl group, as defined above, with the indicated number of carbon atoms attached via an oxygen bridge. Examples of alkoxy include, but are not limited to, methoxy, ethoxy, 3-hexoxy, and 3-methylpentoxy.
• “Mono- and/or di-alkylamino” indicates secondary or tertiary alkyl amino groups, wherein the alkyl groups are as defined above and have the indicated number of carbon atoms. The point of attachment of the alkylamino group is on the nitrogen.
• the alkyl groups are independently chosen. Examples of mono- and di-alkylamino groups include ethylamino, dimethylamino, and methyl-propyl-amino.
• “Mono- and/or dialkylaminoalkyl” groups are mono- and/or di-alkylamino groups attached through an alkyl linker having the specified number of carbon atoms, for example a di-methylaminoethyl group.
• Tertiary amino substituents may by designated by nomenclature of the form N—R—N—R′, indicating that the groups R and R′ are both attached to a single nitrogen atom.
• Alkylester indicates an alkyl group as defined above attached through an ester linkage.
• the ester linkage may be in either orientation, e.g. a group of the formula —O(C ⁇ O)alkyl or a group of the formula —(C ⁇ O)Oalkyl.
• Alkylphosphate indicates a phosphoester linkage which is mono- or di-substituted with independently chosen alkyl groups.
• a mono-alkyl phosphate substituent has the formula alkyl-HPO 4 - and a di-alkyl phosphate has the formula alkyl 1 alkyl 2 PO 4 -and the structure
• alkyl groups are as defined above.
• Aryl means aromatic groups containing only carbon in the aromatic ring or rings. Typical aryl groups contain 1 to 3 separate, fused, or pendant rings and from 6 to about 18 ring atoms, without heteroatoms as ring members. When indicated, such aryl groups may be further substituted with carbon or non-carbon atoms or groups. Such substitution may include fusion to a 5 to 7-membered saturated cyclic group that optionally contains 1 or 2 heteroatoms independently chosen from N, O, and S, to form, for example, a 3,4-methylenedioxy-phenyl group.
• Aryl groups include, for example, phenyl, naphthyl, including 1-naphthyl and 2-naphthyl, and bi-phenyl.
• “Mono- and/or di-alkylcarboxamide” indicates groups of formula (alkyl 1 )-NH—(C ⁇ O)— and (alkyl 1 )(alkyl 2 )—N—(C ⁇ O)— in which the alkyl1 and alkyl2 groups are independently chosen alkyl groups as defined above having the indicated number of carbon atoms.
• Mono and/or di-alkylcarboxamide also refers to groups of the formula —NH(C ⁇ O)(alkyl 1 ) and —N(alkyl 2 )(C ⁇ O)(alkyl 1 ), carboxamide groups in which the point of attachment is the nitrogen atom, in which the alkyl 1 and alkyl 2 groups are independently chosen alkyl groups as defined above having the indicated number of carbon atoms.
• Alkylsulfonyl means alkyl-(SO 2 )—, where the alkyl group is an alkyl group as defined above having the defined number of carbon atoms.
• An exemplary alkylsulfonyl group is methylsulfonyl.
• Carbohydryl as used herein, includes both branched and straight-chain hydrocarbon groups, which are saturated or unsaturated, having the specified number of carbon atoms.
• Examples of carbohydryl groups include C 1 -C 6 alkyl, such as methyl, or 5-butyl, C 2 -C 6 alkynyl such as hexynyl, and C 2 -C 6 alkenyl, such as 1-propenyl.
• Carbohydryloxy indicates a carbohydryl group, as defined above, attached through an oxygen bridge.
• Cycloalkyl indicates saturated hydrocarbon ring groups, having the specified number of carbon atoms, usually from 3 to about 8 ring carbon atoms, or from 3 to about 7 carbon atoms.
• Examples of cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl as well as bridged or caged saturated ring groups such as norborane or adamantane.
• “Mono- or bicyclic carbocycloxy” is a group that contains a mono-cyclic carbocyclic group or a bicyclic carbocylic group having two fused carbocyclic rings which mono- or bi-cyclic carbocyclic group is attached via an oxygen linker.
• the ring(s) of a mono- or bi-cyclic carbocyclic group may be saturated (cycloalkyl), partially saturated, or aromatic.
• a carbocyclic ring comprises contains from 3 to 8 ring members or is some embodiments 5 to 7 ring members.
• “Mono- or bicyclic heteroaryl” indicates a stable 5- to 7-membered monocyclic or 7- to 10-membered bicyclic heterocyclic ring which contains at least 1 aromatic ring that contains from 1 to 4, or preferably from 1 to 3, heteroatoms chosen from N, O, and S, with remaining ring atoms being carbon.
• the total number of S and O atoms in the heteroaryl group exceeds 1, these heteroatoms are not adjacent to one another. It is preferred that the total number of S and O atoms in the heteroaryl group is not more than 2. It is particularly preferred that the total number of S and O atoms in the heteroaryl group is not more than 1.
• a nitrogen atom in a heteroaryl group may optionally be quaternized.
• heteroaryl groups may be further substituted with carbon or non-carbon atoms or groups.
• substitution may include fusion to a 5 to 7-membered saturated cyclic group that optionally contains 1 or 2 heteroatoms independently chosen from N, O, and S, to form, for example, a [1,3]dioxolo[4,5-c]pyridyl group.
• heteroaryl groups include, but are not limited to, pyridyl, indolyl, pyrimidinyl, pyridizinyl, pyrazinyl, imidazolyl, oxazolyl, furanyl, thiophenyl, thiazolyl, triazolyl, tetrazolyl, isoxazolyl, quinolinyl, pyrrolyl, pyrazolyl, benz[b]thiophenyl, isoquinolinyl, quinazolinyl, quinoxalinyl, thienyl, isoindolyl, and 5,6,7,8-tetrahydroisoquinoline.
• Heteroaryloxy is a heteroaryl group as defined above, attached via an oxygen bridge.
• Heterocycloalkyl means a saturated cyclic group containing from 1 to about 3 heteroatoms chosen from N, O, and S, with remaining ring atoms being carbon. Heterocycloalkyl groups have from 3 to about 8 ring atoms, and more typically have from 5 to 7 ring atoms. Examples of heterocycloalkyl groups include morpholinyl, piperazinyl, piperidinyl, and pyrrolidinyl groups. A nitrogen in a heterocycloalkyl group may optionally be quaternized.
• Haloalkyl indicates both branched and straight-chain alkyl groups having the specified number of carbon atoms, substituted with 1 or more halogen atoms, generally up to the maximum allowable number of halogen atoms.
• haloalkyl include, but are not limited to, trifluoromethyl, difluoromethyl, 2-fluoroethyl, and penta-fluoroethyl.
• Haloalkoxy indicates a haloalkyl group as defined above attached through an oxygen bridge (oxygen of an alcohol radical).
• Halo or “halogen” as used herein refers to fluoro, chloro, bromo, or iodo.
• “Sulfonyl” is used herein to indicate an —SO 2 — linker.
• compositions are compositions comprising at least one active agent, such as a compound or salt of the invention, and at least one other substance, such as a carrier, excipient, or diluent.
• Pharmaceutical compositions meet the U.S. FDA's GMP (good manufacturing practice) standards for human or non-human drugs.
• “Pharmaceutically acceptable salts” includes derivatives of the disclosed compounds in which the parent compound is modified by making inorganic and organic, non-toxic, acid or base addition salts thereof.
• the salts of the present compounds can be synthesized from a parent compound that contains a basic or acidic moiety by conventional chemical methods. Generally, such salts can be prepared by reacting free acid forms of these compounds with a stoichiometric amount of the appropriate base (such as Na, Ca, Mg, or K hydroxide, carbonate, bicarbonate, or the like), or by reacting free base forms of these compounds with a stoichiometric amount of the appropriate acid. Such reactions are typically carried out in water or in an organic solvent, or in a mixture of the two.
• salts of the present compounds further include solvates of the compounds and of the compound salts.
• Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like.
• the pharmaceutically acceptable salts include the conventional non-toxic salts and the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids.
• conventional non-toxic acid salts include those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like; and the salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, glutamic, benzoic, salicylic, mesylic, esylic, besylic, sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isethionic, HOOC—(CH 2 ) n —COOH where n is 0-4, and the like. Lists of additional suitable salts may be found, e.g., in Remington's Pharmaceutical Sciences, 17th
• carrier applied to pharmaceutical compositions of the invention refers to a diluent, excipient, or vehicle with which an active compound is administered.
• a “pharmaceutically acceptable excipient” means an excipient that is useful in preparing a pharmaceutical composition that is generally safe, non-toxic and neither biologically nor otherwise undesirable, and includes an excipient that is acceptable for veterinary use as well as human pharmaceutical use.
• a “pharmaceutically acceptable excipient” as used in the present application includes both one and more than one such excipient.
• a “patient” is a human or non-human animal in need of medical treatment.
• Medical treatment can include treatment of an existing condition, such as a disease or disorder, prophylactic or preventative treatment, or diagnostic treatment.
• the patient is a human patient.
• Prodrug means any compound that becomes compound of the invention when administered to a mammalian subject, e.g., upon metabolic processing of the prodrug.
• Examples of prodrugs include, but are not limited to, acetate, formate and benzoate and like derivatives of functional groups (such as alcohol or amine groups) in the compounds of the invention.
• Providing means giving, administering, selling, distributing, transferring (for profit or not), manufacturing, compounding, or dispensing.
• “Providing a compound of the invention with at least one additional active agent” means the compound of the invention and the additional active agent(s) are provided simultaneously in a single dosage form, provided concomitantly in separate dosage forms, or provided in separate dosage forms for administration separated by some amount of time that is within the time in which both the compound of the invention and the at least one additional active agent are within the blood stream of a patient.
• the compound of the invention and the additional active agent need not be prescribed for a patient by the same medical care worker.
• the additional active agent or agents need not require a prescription.
• Administration of the compound of the invention or the at least one additional active agent can occur via any appropriate route, for example, oral tablets, oral capsules, oral liquids, inhalation, injection, suppositories or topical contact.
• Treatment includes providing a compound of the invention and at least one additional active agent sufficient to: (a) prevent a disease or a symptom of a disease from occurring in a patient who may be predisposed to the disease but has not yet been diagnosed as having it (e.g. including diseases that may be associated with or caused by a primary disease (as in liver fibrosis that can result in the context of chronic HCV infection); (b) inhibiting the disease, i.e. arresting its development; and (c) relieving the disease, i.e., causing regression of the disease. “Treating” and “treatment” also means providing a therapeutically effective amount of a compound of the invention and at least one additional active agent to a patient having or susceptible to a hepatitis C infection.
• a “therapeutically effective amount” of a pharmaceutical combination of this invention means an amount effective, when administered to a patient, to provide a therapeutic benefit such as an amelioration of symptoms, e.g., an amount effective to decrease the symptoms of a hepatitis C infection.
• a patient infected with a hepatitis C virus may present elevated levels of certain liver enzymes, including AST and ALT.
• AST are from 5 to 40 units per liter of serum (the liquid part of the blood) and normal levels of ALT are from 7 to 56 units per liter of serum.
• a therapeutically effect amount is thus an amount sufficient to provide a significant reduction in elevated AST and ALT levels or an amount sufficient to provide a return of AST and ALT levels to the normal range.
• a therapeutically effective amount is also an amount sufficient to prevent a significant increase or significantly reduce the detectable level of virus or viral antibodies in the patient's blood, serum, or tissues.
• One method of determining treatment efficacy includes measuring HCV RNA levels by a convention method for determining viral RNA levels such as the Roch TaqMan assay. In certain preferred embodiments treatment reduces HCV RNA levels below the limit of quantitation (30 IU/mL, as measured by the Roche TaqMan(R) assay) or more preferably below the limit of detection (10 IU/mL, Roche TaqMan).
• a significant increase or reduction in the detectable level of virus or viral antibodies is any detectable change that is statistically significant in a standard parametric test of statistical significance such as Student's T-test, where p ⁇ 0.05.
• the invention includes compounds of Formula I and II, as discussed above. Additionally the invention includes, as alternate embodiments, compound and salts of Formula I and II
• variables A and R 3 -R 7 carry any of the values set forth below.
• the inventions includes compounds of Formula I and II as described in the Summary of Invention section, wherein the compound is not:
• the invention further includes a compound of Formula I or Formula II, as defined in the Summary of Invention section, wherein one or more of the following conditions (i) to (ix) is met.
• R 3 is fluoro
• R 3 is amino, C 1 -C 2 alkyl, or (mono- or di-C 1 -C 2 alkylamino)C 0 -C 2 alkyl;
• R 5 is C 6 -C 20 carbohydryl, C 6 -C 20 carbohydryloxy, C 2 -C 20 alkanoyl, or C 6 .
• C 20 mono- or di-alkylamino, where the carbohydryl, carbohydryloxy, alkanoyl or mono- or di-alkylamino chain may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and
• R 6 is C 4 -C 20 carbohydryl, C 4 -C 20 carbohydryloxy, or C 2 -C 20 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain may be substituted with one or more substituents independently chosen from halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and
• one of R 5 and R 6 is C 4 -C 20 carbohydryl, C 4 -C 20 carbohydryloxy, or C 2 -C 20 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain contains one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups and may be substituted with one or more independently chosen halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and
• one of R 5 and R 6 is a group of the formula —O(CH 2 ) 2 O—, or C 4 -C 20 carbohydryl, C 4 -C 20 carbohydryloxy, or C 4 -C 10 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups and may be substituted with one or more independently chosen halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and where the group of the formula —O(CH 2 ) 2 O—, or the C 4 -C 10 -carbohydryl, C 4 -C 10 -carbohydryloxy, or C 4 -C 10 alkanoyl is substituted with one aryl, mono- or bicyclic
• R 5 and R 6 is phenoxy, benzyloxy, or indanyloxy; each of which is substituted with 0 or 1 or more independently chosen halogen, hydroxyl, cyano, C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, mono- and di-C 1 -C 4 alkylamino, C 1 -C 2 haloalkyl, and C 1 -C 2 haloalkoxy;
• R 5 and R 6 is (C 3 -C 7 cycloalkyl)C 0 -C 2 alkyl or (C 3 -C 7 cycloalkyl)C 0 -C 2 alkoxy and the other of R 5 and R 6 is hydrogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy; and
• R 5 and R 6 are taken together to form a 5- or 6-membered heterocyclic ring containing 1 or 2 heteroatoms independently chosen from O and N, which ring is partially unsaturated or aromatic, and is substituted with 0, 1, or 2 substituents independently chosen from halogen, hydroxyl, amino, cyano, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 1 -C 10 alkoxy, and optionally substituted (phenyl)C 0 -C 4 alkyl.
• the invention includes embodiments in which compounds the variables A, R, and R 1 , in Formula I and Formula II carries any of the following definitions.
• R 1 is hydrogen
• Q is O, S, N, CH 2 , or absent; and X is N or CH; Y is N or CH; and not more that 1 of X and Y are N, wherein R is hydrogen, and R and R 2 may carry any of the definitions set forth herein for these variables.
• A is 3-pyridyl substituted with 0 or 1 substituents R, where R carries any of the definitions set forth herein.
• R is 0, 1, or 2 substituents independently chosen from hydroxyl, halogen, amino, cyano, —COOH, —CONH 2 , —PO 4 , C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, C 1 -C 4 alkyl, C 1 -C 4 alkoxy, mono- and di-C 1 -C 4 alkylamino, C 2 -C 4 alkanoyl, and mono- and di-C 1 -C 4 alkylphosphate.
• R is absent or R is hydroxyl, halogen, cyano, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, or mono- or di-C 1 -C 2 alkylphosphate.
• A is 3-pyridyl and R is absent or hydroxyl, fluoro, chloro, cyano, —CONH 2 , methyl, methoxy, or di-methyl phosphate.
• R 2 is 0, 1, or more substituents independently chosen from hydroxyl, halogen, amino, cyano, —COOH, —CONH 2 , C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy; C 1 -C 4 alkyl, C 1 -C 4 alkoxy, mono- and di-C 1 -C 4 alkylamino, C 2 -C 4 alkanoyl, and C 1 -C 4 alkylester.
• R 3 Variable
• the invention includes embodiments in which compounds the variable R 3 in Formula I and Formula II carries any of the following definitions.
• R 3 is halogen, amino, hydroxyl, methyl, methoxy, dimethylamino, or dimethylaminomethyl.
• R 3 is amino, C 1 -C 2 alkyl, or (mono- or di-C 1 -C 2 alkylamino)C 0 -C 2 alkyl.
• R 3 is halogen
• R 3 is fluoro
• the invention includes embodiments in which compounds the variable R 4 in Formula I and Formula II carries any of the following definitions.
• R 4 is hydrogen, amino, C 1 -C 2 alkyl, or C 2 -C 4 alkyenylamino.
• R 4 is hydrogen
• the invention includes embodiments in which compounds the variables R 5 , R 6 , and R 7 in Formula I and Formula II carries any of the following definitions.
• the invention includes embodiments in which compounds the variable R 4 in Formula I and Formula II carries any of the following definitions.
• R 5 is C 6 -C 10 alkyl, C 6 -C 10 alkenyl, C 6 -C 10 alkoxy, C 6 -C 10 alkenyloxy, or C 6 -C 10 alkanoyl, where the alkyl, alkenyl, alkoxy, alkenyloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups, and
• R 6 is C 4 -C 10 alkyl, C 4 -C 10 alkenyl, C 4 -C 10 alkoxy, C 4 -C 10 alkenyloxy, or C 4 -C 10 alkanoyl, where the alkyl, alkenyl, alkoxy, alkenyloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups, and
• R 5 is halogen, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, methylsulfonyl, trifluormethyl, or trifluoromethoxy.
• R 5 is halogen, cyano, —COOH, —CONH 2 , methyl, methylester, methylsulfonyl, trifluormethyl, or —CF 2 CH 3 .
• one of R 5 and R 6 is a group of the formula —O(CH 2 ) 2 O—, C 4 -C 10 -carbohydryl, C 4 -C 10 -carbohydryloxy, or C 4 -C 10 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain may contain one or more oxygen atoms and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and where the group of the formula —O(CH 2 ) 2 O—, C 4 -C 10 -carbohydryl, C 4 -C 10 -carbohydryloxy, or C 4 -C 10 alkanoyl is substituted with one phenyl, naphthyl, pyridyl, pyrimidinyl, pyraziny
• R 5 and R 6 is (cyclohexyl)C 1 -C 2 alkyl or (cyclohexyl)C 1 -C 2 alkoxy and the other of R 5 and R 6 is hydrogen, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, C 1 -methylsulfonyl, trifluoromethyl, or trifluoromethoxy.
• R 5 and R 6 are taken together to form a 5- or 6-membered heterocyclic ring containing 1 or 2 heteroatoms independently chosen from O and N, which ring is partially unsaturated or aromatic, and is substituted with 0, 1, or 2 substituents independently chosen from halogen, cyano, C 1 -C 8 alkyl, C 1 -C 8 alkoxy, and (phenyl)C 1 -C 4 alkyl.
• R 5 and R 6 are L and M where:
• R 5 and R 6 is L and the other is M, where: L is hydrogen, cyano, —COOH, —CONH 2 , methyl, trifluoromethyl, difluoromethyl, acetyl, or CH 3 O(C ⁇ O)— and M carries any of the definitions set forth for embodiments (9) to (11) for the other of the R 5 and R 6 variables.
• R 5 and R 6 are taken together to form a 5- or 6-membered ring, which is saturated, partially unsaturated, or aromatic, contains 0, 1, or 2 heteroatoms chosen from N, O, and S, and is substituted with 0, 1, or 2 substituents independently chosen from halogen, hydroxyl, amino, cyano, C 1 -C 8 alkyl, C 2 -C 8 alkenyl, C 1 -C 8 alkoxy, oxo, and optionally substituted (phenyl)C 0 -C 4 alkyl.
• R 5 and R 6 are taken together to form a 5-membered heteroaryl ring, containing 1 or 2 heteroatoms chosen from N and O, and substituted with 0, 1, or 2 substituents independently chosen from halogen, C 1 -C 8 alkyl, C 1 -C 8 alkoxy, and (phenyl)C 0 -C 4 alkyl.
• R 5 and R 6 are taken together to form a 5-membered heterocycloalkyl ring, containing 1 or 2 heteroatoms chosen from N and O, and substituted with 0, 1, or 2 substituents independently chosen from halogen, C 1 -C 8 alkyl, C 1 -C 8 alkoxy, and (phenyl)C 0 -C 4 alkyl.
• R 7 is hydrogen, halogen, or methyl.
• R 7 is hydrogen
• R 5 is C 6 -C 20 carbohydryl, C 6 -C 20 carbohydryloxy, C 2 -C 20 alkanoyl, or C 6 -C 20 mono- or di-alkylamino, where the carbohydryl, carbohydryloxy, alkanoyl or mono- or di-alkylamino chain may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and
• R 6 is halogen, hydroxyl, amino, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy.
• R 5 is C 6 -C 10 alkyl, C 6 -C 10 alkenyl, C 6 -C 10 alkoxy, C 6 -C 10 alkenyloxy, or C 6 -C 10 alkanoyl, where the alkyl, alkenyl, alkoxy, alkenyloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups, and
• R 6 is halogen, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, methylsulfonyl, trifluormethyl, or trifluoromethoxy.
• R 6 is C 4 -C 20 carbohydryl, C 4 -C 20 carbohydryloxy, C 2 -C 20 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and
• R 5 is hydrogen, halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy.
• R 6 is C 4 -C 10 alkyl, C 4 -C 10 alkenyl, C 4 -C 10 alkoxy, C 4 -C 10 alkenyloxy, or C 4 -C 10 alkanoyl, where the alkyl, alkenyl, alkoxy, alkenyloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups, and R 5 is hydrogen, halogen, cyano, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, methylsulfonyl, trifluormethyl, or trifluoromethoxy.
• R 6 is C 4 -C 10 alkyl, C 4 -C 10 alkenyl, C 4 -C 10 alkoxy, C 4 -C 10 alkenyloxy, or C 4 -C 10 alkanoyl, where the alkyl, alkenyl, alkoxy, alkenyloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups, and
• R 5 is halogen, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, methylsulfonyl, trifluormethyl, or trifluoromethoxy.
• R 5 and R 6 is C 4 -C 20 carbohydryl, C 4 -C 20 carbohydryloxy, or C 2 -C 20 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain contains one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and the other of R 5 and R 6 is hydrogen, halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C
• R 5 and R 6 is a group of the formula —O(CH 2 ) 2 O—, C 4 -C 20 carbohydryl, C 4 -C 20 carbohydryloxy, C 4 -C 10 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and where the group of the formula —O(CH 2 ) 2 O—, C 4 -C 10 -carbohydryl, C 4 -C 10 -carbohydryloxy, or C 4 -C 10 alkanoyl is substituted with one aryl, mono- or bicyclic heteroaryl, C 3
• R 5 and R 6 is a group of the formula —O(CH 2 ) 2 O—, C 4 -C 10 -carbohydryl, C 4 -C 10 carbohydryloxy, or C 4 -C 10 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain may contain one or more oxygen atoms and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and where the group of the formula —O(CH 2 ) 2 O—, C 4 -C 10 -carbohydryl, C 4 -C 10 -carbohydryloxy, or C 4 -C 10 alkanoyl is substituted with one phenyl, naphthyl, pyridyl, pyrimidinyl, pyrazinyl,
• R 5 and R 6 is phenoxy, benzyloxy, or indanyloxy; each of which is substituted with 0, 1 or 2 substituents independently chosen from halogen, cyano, C 1 -C 2 alkyl, C 1 -C 2 alkoxy, mono- or di-C 1 -C 4 alkylamino, trifluoromethyl, or trifluoromethoxy; and the other of R 5 and R 6 is halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy.
• R 5 and R 6 is (C 3 -C 7 cycloalkyl)C 0 -C 2 alkyl or (C 3 -C 7 cycloalkyl)C 0 -C 2 alkoxy and the other of R 5 and R 6 is hydrogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy; and the other of R 6 is halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester,
• R 5 and R 6 is (cyclohexyl)C 1 -C 2 alkyl or (cyclohexyl)C 1 -C 2 alkoxy and the other of R 5 and R 6 is hydrogen, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, C 1 -methylsulfonyl, trifluoromethyl, or trifluoromethoxy.
• R 5 and R 6 are taken together to form a 5- or 6-membered heterocyclic ring containing 1 or 2 heteroatoms independently chosen from O and N, which ring is partially unsaturated or aromatic, and is substituted with 0, 1, or 2 substituents independently chosen from halogen, hydroxyl, amino, cyano, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 1 -C 10 alkoxy, and optionally substituted (phenyl)C 0 -C 4 alkyl.
• R 5 and R 6 are taken together to form a 5- or 6-membered heterocyclic ring containing 1 or 2 heteroatoms independently chosen from O and N, which ring is partially unsaturated or aromatic, and is substituted with 0, 1, or 2 substituents independently chosen from halogen, cyano, C 1 -C 8 alkyl, C 1 -C 8 alkoxy, and (phenyl)C 1 -C 4 alkyl.
• the invention includes all combinations of definitions for the variables A and R 1 to R 7 given above so long as a stable compound or salt of the invention results.
• the invention includes compounds and salts of Formula I, in which the A variable is carries definition (7), the R 3 variable carries definition (3) the R 4 variable carries definition (2), R 5 and R 6 carry definition (8) and R 7 carries definition (17).
• the invention includes compounds and salts of Formula III
• R is absent or hydroxyl, fluoro, chloro, cyano, —CONH 2 , methyl, methoxy, or di-methyl phosphate.
• R 3 is halogen
• R 5 and R 6 are L and M where:
• L is hydrogen, halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy;
• M is C 4 -C 10 alkyl, C 4 -C 10 alkenyl, C 4 -C 10 alkoxy, or C 2 -C 10 alkanoyl, each of which may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms or sulfonyl groups and may be substituted with one or more independently chosen halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo.
• the invention also includes compounds as salts of Formula IV
• the invention includes compounds and salts of Formula IV in which
• X and Y are CH;
• R is absent or R is hydroxyl, halogen, cyano, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, or mono- or di-C 1 -C 2 alkylphosphate;
• R 3 is hydrogen, halogen, amino, hydroxyl, methyl, methoxy, dimethylamino, or dimethylaminomethyl;
• R 4 is hydrogen
• R 5 and R 6 are taken together to form a 5-membered heteroaryl ring, containing 1 or 2 heteroatoms chosen from N and O, and substituted with 0, 1, or 2 substituents independently chosen from halogen, C 1 -C 8 alkyl, C 1 -C 8 alkoxy, and (phenyl)C 0 -C 4 alkyl; and
• R 7 is hydrogen, halogen, or methyl.
• the invention includes compounds and salts of Formula IV, wherein R 3 is halogen.
• the invention also includes compounds and salts of Formula IV, wherein
• X and Y are independently CH or N;
• R is absent or R is hydroxyl, halogen, cyano, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, or mono- or di-C 1 -C 2 alkylphosphate;
• R 3 is hydrogen, halogen, amino, hydroxyl, methyl, methoxy, dimethylamino, or dimethylaminomethyl (in some embodiments R 3 is halogen);
• R 4 is hydrogen
• R 5 and R 6 are L and M, wherein: L is hydrogen, halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy; and M is C 1 -C 10 carbohydryl or C 1 -C 10 carbohydryloxy where each carbohydryl or carbohydryloxy, chain may contain one or more oxygen atoms, and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and each of which is substituted with one phenyl, naphthyl, pyridyl, thienyl,
• M is phenyloxy or indanyloxy, thienyloxy, each of which is substituted with 0 or 1 or more halogen, hydroxyl, cyano, C 1 -C 2 alkyl, C 1 -C 2 alkoxy, acetyl, mono- or di-C 1 -C 2 alkylamino, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy; where one of R 5 and R 6 is L and the other is M; and
• R 7 is hydrogen, halogen, or methyl.
• the invention further includes compounds and salts of Formula IV in which X and Y are CH; R is absent or R is hydroxyl, halogen, cyano, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, or mono- or di-C 1 -C 2 alkylphosphate; R 3 is hydrogen or halogen; R 4 is hydrogen; and R 7 is hydrogen, halogen, or methyl; and one or more of the following conditions is met for R 5 and R 6 .
• R 5 is C 6 -C 10 alkyl, C 6 -C 10 alkenyl, C 6 -C 10 alkoxy, C 6 -C 10 alkenyloxy, or C 6 -C 10 alkanoyl, where the alkyl, alkenyl, alkoxy, alkenyloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups, and R 6 is halogen, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, methylsulfonyl, trifluormethyl, or trifluoromethoxy.
• R 6 is C 4 -C 10 alkyl, C 4 -C 10 alkenyl, C 4 -C 10 alkoxy, C 4 -C 10 alkenyloxy, or C 4 -C 10 alkanoyl, where the alkyl, alkenyl, alkoxy, alkenyloxy, or alkanoyl chain may contain one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups, and R 5 is hydrogen, halogen, cyano, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, methylsulfonyl, trifluormethyl, or trifluoromethoxy.
• R 5 and R 6 is C 4 -C 20 carbohydryl, C 4 -C 20 carbohydryloxy, or C 2 -C 20 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain contains one or more oxygen atoms, nitrogen atoms, sulfur atoms, or sulfonyl groups and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and the other of R 5 and R 6 is hydrogen, halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1
• R 5 and R 6 is a group of the formula —O(CH 2 ) 2 O—, C 4 -C 10 -carbohydryl, C 4 -C 10 -carbohydryloxy, or C 4 -C 10 alkanoyl, where the carbohydryl, carbohydryloxy, or alkanoyl chain may contain one or more oxygen atoms and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and where the group of the formula —O(CH 2 ) 2 O—, C 4 -C 10 -carbohydryl, C 4 -C 10 -carbohydryloxy, or C 4 -C 10 alkanoyl is substituted with one phenyl, naphthyl, pyridyl, pyrimidinyl, pyra
• R 5 and R 6 is phenoxy, benzyloxy, or indanyloxy; each of which is substituted with 0, 1 or 2 substituents independently chosen from halogen, cyano, C 1 -C 2 alkyl, C 1 -C 2 alkoxy, mono- or di-C 1 -C 4 alkylamino, trifluoromethyl, or trifluoromethoxy; and the other of R 5 and R 6 is halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy.
• R 5 and R 6 is (cyclohexyl)C 1 -C 2 alkyl or (cyclohexyl)C 1 -C 2 alkoxy and the other of R 5 and R 6 is hydrogen, —COOH, —CONH 2 , C 1 -C 2 alkyl, C 1 -C 2 alkoxy, methylester, C 1 -methylsulfonyl, trifluoromethyl, or trifluoromethoxy; and the other of R 6 is halogen, hydroxyl, amino, cyano, —COOH, —CONH 2 , C 1 -C 4 alkyl, C 1 -C 4 alkoxy, C 2 -C 4 alkanoyl, C 1 -C 2 alkylester, C 1 -C 2 alkylsulfonyl, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy.
• R 5 and R 6 are taken together to form a 5- or 6-membered heterocyclic ring containing 1 or 2 heteroatoms independently chosen from O and N, which ring is partially unsaturated or aromatic, and is substituted with 0, 1, or 2 substituents independently chosen from halogen, hydroxyl, amino, cyano, C 1 -C 10 alkyl, C 2 -C 10 alkenyl, C 1 -C 10 alkoxy, and optionally substituted (phenyl)C 0 -C 4 alkyl.
• the invention also includes compounds and salts of Formula V
• R 3 is hydrogen or fluoro
• R 5 is C 1 -C 10 alkoxy, which alkoxy chain may contain one or more oxygen atoms and is substituted with one phenyl or C 3 -C 7 cycloalkyl, each of which is substituted with 0 or 1 or more halogen, hydroxyl, cyano, C 1 -C 2 alkyl, C 1 -C 2 alkoxy, C 2 -C 4 alkanoyl, mono- or di-C 1 -C 2 alkylamino, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy; and
• R 6 is halogen, methyl, methoxy, acetyl, trifluoromethyl, or trifluoromethoxy
• R 7 is hydrogen, halogen, or methyl.
• R 5 is C 5 -C 10 alkoxy, which alkoxy chain may contain one or more oxygen atoms and is substituted with one phenyl or C 3 -C 7 cycloalkyl, each of which is substituted with 0 or 1 or more halogen, hydroxyl, cyano, C 1 -C 2 alkyl, C 1 -C 2 alkoxy, C 2 -C 4 alkanoyl, mono- or di-C 1 -C 2 alkylamino, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy.
• the invention also includes compounds of Formula VI
• R 3 is halogen
• R 5 and R 6 are L and M, wherein: L is hydrogen, halogen, hydroxyl, amino, cyano, C 1 -C 2 alkyl, C 1 -C 4 alkoxy, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy; and M is C 6 -C 10 alkyl or C 6 -C 10 alkoxy where each C 6 -C 10 alkyl or C 6 -C 10 alkoxy, chain may contain one or more oxygen atoms, and may be substituted with one or more halogen, hydroxyl, cyano, amino, C 1 -C 2 haloalkyl, C 1 -C 2 haloalkoxy, and oxo, and each of which may be substituted with one cyclic group chosen from phenyl, pyridyl, thienyl, C 3 -C 7 cycloalkyl, and 5- to 7-membered heterocycloalkyl, each of which
• R 7 is hydrogen, halogen, or methyl.
• the invention includes compounds and salts of Formula VII
• R 5 is C 4 -C 10 alkyl or C 4 -C 10 alkoxy, each of which is substituted with 0 or 1 or more halogen, hydroxyl, cyano, C 1 -C 2 alkyl, C 1 -C 2 alkoxy, C 2 -C 4 alkanoyl, mono- or di-C 1 -C 2 alkylamino, C 1 -C 2 haloalkyl, or C 1 -C 2 haloalkoxy; and
• R 6 is halogen, cyano, —CONH 2 , —COOH, methyl, methoxy, acetyl, trifluoromethyl, —CF 2 CH 3 , or trifluoromethoxy;
• R 7 is hydrogen, halogen, or methyl.
• compositions comprising a compound or pharmaceutically acceptable salt of the invention, together with at least one pharmaceutically acceptable carrier.
• Compounds of the invention may be administered orally, topically, parenterally, by inhalation or spray, sublingually, transdermally, via buccal administration, rectally, as an ophthalmic solution, or by other means, in dosage unit formulations containing conventional pharmaceutically acceptable carriers.
• the pharmaceutical composition may be formulated as any pharmaceutically useful form, e.g., as an aerosol, a cream, a gel, a pill, a capsule, a tablet, a syrup, a transdermal patch, or an ophthalmic solution.
• Some dosage forms, such as tablets and capsules are subdivided into suitably sized unit doses containing appropriate quantities of the active components, e.g., an effective amount to achieve the desired purpose.
• Carriers include excipients and diluents and must be of sufficiently high purity and sufficiently low toxicity to render them suitable for administration to the patient being treated.
• the carrier can be inert or it can possess pharmaceutical benefits of its own.
• the amount of carrier employed in conjunction with the compound is sufficient to provide a practical quantity of material for administration per unit dose of the compound.
• Classes of carriers include, but are not limited to binders, buffering agents, coloring agents, diluents, disintegrants, emulsifiers, flavorants, glidents, lubricants, preservatives, stabilizers, surfactants, tableting agents, and wetting agents.
• Some carriers may be listed in more than one class, for example vegetable oil may be used as a lubricant in some formulations and a diluent in others.
• Exemplary pharmaceutically acceptable carriers include sugars, starches, celluloses, powdered tragacanth, malt, gelatin; talc, and vegetable oils.
• Optional active agents may be included in a pharmaceutical composition, which do not substantially interfere with the activity of the compound of the present invention.
• Binders are substances that bind or “glue” powders together and make them cohesive by forming granules, thus serving as the “adhesive” in the formulation. Binders add cohesive strength to that already available in the diluent or bulking agent. Examples of binders include starch, gelatin, natural sugars, corn sweeteners, natural and synthetic gums such as acacia, sodium alginate, carboxymethylcellulose, polyethylene glycol and waxes. The amount of binder in the composition can range, for example, from about 2 to about 20% by weight of the composition, or from about 3 to about 10% by weight, even more preferably from about 3 to about 6% by weight.
• Diluents include sugars such as lactose, sucrose, mannitol and sorbitol; starches derived from wheat, corn, rice and potato; and celluloses such as microcrystalline cellulose.
• the amount of diluent in the composition may be, for example, about 10 to about 90% by weight of the total composition, about 25 to about 75%, about 30 to about 60% by weight, or about 12 to about 60%.
• Disintegrants are materials added to a pharmaceutical composition to help it break apart (disintegrate) and release the active agent.
• Suitable disintegrants include starches; including “cold water soluble” modified starches such as sodium carboxymethyl starch; natural and synthetic gums such as locust bean, karaya, guar, and tragacanth gum and agar; cellulose derivatives such as methylcellulose and sodium carboxymethylcellulose; microcrystalline celluloses and cross-linked microcrystalline celluloses such as sodium croscarmellose; alginates such as alginic acid and sodium alginate; clays such as bentonites; and effervescent mixtures.
• the amount of disintegrant in the composition can range, for example, from about 2 to about 15% by weight of the composition or from about 4 to about 10% by weight.
• Lubricants are substances added to a pharmaceutical formulation to enable the tablet, granules, etc. after it has been compressed, to release from the mold or die by reducing friction or wear.
• examples of lubricants useful in pharmaceutical dosage forms include boric acid, sodium benzoate, sodium acetate, sodium chloride, and the like.
• Lubricants are usually added at the very last step before tablet compression, since they must be present on the surfaces of the granules and in between them and the parts of the tablet press.
• the amount of lubricant in the composition can range, for example, from about 0.1 to about 5% by weight of the composition, from about 0.5 to about 2%, or from about 0.3 to about 1.5% by weight.
• the amount of compound or salt of the invention in a unit dose may be generally varied or adjusted from about 1.0 milligram to about 1,000 milligrams, from about 1.0 to about 900 milligrams, from about 1.0 to about 500 milligrams, or from about 1 to about 250 milligrams, according to the particular application and the potency of the compound.
• the actual dosage employed may be varied depending upon the patient's age, sex, weight and severity of the condition being treated.
• compositions formulated for oral administration are often preferred. These compositions contain between 0.1 and 99% of a compound of the invention and usually at least about 5% (weight %) of a compound of the invention. Some embodiments contain from about 25% to about 50% or from 5% to 75% of a compound of invention.
• compositions of the invention can be incorporated into oral liquid preparations such as aqueous or oily suspensions, solutions, emulsions, syrups, tinctures, syrups, or elixirs, for example.
• formulations containing these compounds can be presented as a dry product, e.g. as granules or powders, for constitution with water or other suitable vehicle before use.
• Typical components of carriers for syrups, elixirs, emulsions and suspensions include ethanol, glycerol, propylene glycol, polyethylene glycol, liquid sucrose, sorbitol and water.
• Liquid preparations can contain conventional additives, such as suspending agents (e.g., sorbitol syrup, methyl cellulose, glucose/sugar, syrup, gelatin, hydroxyethyl cellulose, carboxymethyl cellulose, aluminum stearate gel, and hydrogenated edible fats), emulsifying agents (e.g., lecithin, sorbitan monsoleate, or acacia), non-aqueous vehicles, which can include edible oils (e.g., almond oil, fractionated coconut oil, silyl esters, propylene glycol and ethyl alcohol), and preservatives (e.g., methyl or propyl p-hydroxybenzoate and sorbic acid).
• Oral formulations may contain demulcent, flavoring agents, sweetening agents, such as sucrose or saccharin, taste-masking agents, and coloring agents.
• Aqueous suspensions contain the active material(s) in admixture with excipients suitable for the manufacture of aqueous suspensions.
• excipients are suspending agents, for example AVICEL RC-591, sodium carboxymethylcellulose, methylcellulose, hydropropylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents, for example lecithin and polysorbate 80.
• the aqueous suspensions may also contain one or more preservatives, for example ethyl, n-propyl p-hydroxybenzoate, methyl parabens, propyl parabens, and sodium benzoate.
• Oily suspensions may be formulated by suspending the active ingredients in a vegetable oil, for example peanut oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin.
• the oily suspensions may contain a thickening agent, for example beeswax, hard paraffin or cetyl alcohol.
• Sweetening agents such as those set forth above, and flavoring agents may be added to provide palatable oral preparations.
• These compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.
• compositions of the invention may also be in the form of oil-in-water emulsions.
• the oily phase may be a vegetable oil, for example olive oil or peanut oil, or a mineral oil, for example liquid paraffin or mixtures of these.
• Suitable emulsifying agents may be naturally-occurring gums, for example gum acacia or gum tragacanth, naturally-occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol, anhydrides, for example sorbitan monoleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monoleate. Tablets and
• Tablets typically comprise conventional pharmaceutically compatible adjuvants as inert diluents, such as calcium carbonate, sodium carbonate, mannitol, lactose and cellulose; binders such as starch, gelatin and sucrose; disintegrants such as starch, alginic acid and croscarmelose; lubricants such as magnesium stearate, stearic acid and talc. Glidants such as silicon dioxide can be used to improve flow characteristics of the powder mixture. Coloring agents, such as the FD&C dyes, can be added for appearance. Sweeteners and flavoring agents, such as aspartame, saccharin, menthol, peppermint, and fruit flavors, are useful adjuvants for chewable tablets. Capsules (including time release and sustained release formulations) typically comprise one or more solid diluents disclosed above. The selection of carrier components often depends on secondary considerations like taste, cost, and shelf stability.
• compositions may also be coated by conventional methods, typically with pH or time-dependent coatings, such that the subject compound is released in the gastrointestinal tract in the vicinity of the desired topical application, or at various times to extend the desired action.
• dosage forms typically include, but are not limited to, one or more of cellulose acetate phthalate, polyvinylacetate phthalate, hydroxypropyl methylcellulose phthalate, ethyl cellulose, Eudragit coatings, waxes and shellac.
• Formulations for oral use may also be presented as hard or soft shell capsules.
• a capsule is a dosage form administered in a special container or enclosure containing an active agent.
• the active agent may be present in solid, liquid, gel, or powder form, or any other pharmaceutically acceptable form.
• a capsule shell may be made of methyl cellulose, polyvinyl alcohols, or denatured gelatins or starch or other material.
• Hard shell capsules are typically made of blends of relatively high gel strength bone and pork skin gelatins.
• Soft shell capsule shells are often made of animal or plant gelatins.
• the capsule itself may contain small amounts of dyes, opaquing agents, plasticizers and preservatives.
• the active agent in a capsule may be mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or in the case of soft gelatin capsules the active ingredient may be mixed with water or an oil medium, for example peanut oil, liquid paraffin or olive oil.
• an inert solid diluent for example, calcium carbonate, calcium phosphate or kaolin
• the active ingredient may be mixed with water or an oil medium, for example peanut oil, liquid paraffin or olive oil.
• compositions may be in the form of a sterile injectable aqueous or oleaginous suspension.
• This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents that have been mentioned above.
• the sterile injectable preparation may also be sterile injectable solution or suspension in a non-toxic parentally acceptable diluent or solvent, for example as a solution in 1,3-butanediol.
• the acceptable vehicles and solvents that may be employed are water, Ringer's solution, and isotonic sodium chloride solution.
• sterile, fixed oils are conventionally employed as a solvent or suspending medium.
• any bland fixed oil may be employed including synthetic mono- or diglycerides.
• fatty acids such as oleic acid are useful in the preparation of injectables.
• Compounds of the invention may be administered parenterally in a sterile medium.
• Parenteral administration includes subcutaneous injections, intravenous, intramuscular, intrathecal injection or infusion techniques.
• the drug depending on the vehicle and concentration used, can either be suspended or dissolved in the vehicle.
• adjuvants such as local anesthetics, preservatives and buffering agents can be dissolved in the vehicle.
• the carrier typically comprises least about 90% by weight of the total composition.
• the invention includes methods of preventing and treating hepatitis C infections, by providing a therapeutically effective amount of a compound of the invention to patient at risk for viral infection or having a viral infection.
• the virus is a hepatitis C virus.
• An effective amount of a pharmaceutical combination of the invention may be an amount sufficient to (a) prevent hepatitis C or a symptom of a hepatitis C from occurring in a patient who may be predisposed to hepatitis C but has not yet been diagnosed as having it or prevent diseases that may be associated with or caused by a primary hepatitis C infection (such as liver fibrosis that can result in the context of chronic HCV infection); (b) inhibit the progression of hepatitis C; and (c) cause a regression of the hepatitis C infection.
• a primary hepatitis C infection such as liver fibrosis that can result in the context of chronic HCV infection
• An amount of a pharmaceutical composition effect to inhibit the progress or cause a regression of hepatitis C includes an amount effective to stop the worsening of symptoms of hepatitis C or reduce the symptoms experienced by a patient infected with the hepatitis C virus.
• a halt in progression or regression of hepatitis C may be indicated by any of several markers for the disease.
• markers for the disease For example, a lack of increase or reduction in the hepatitis C viral load or a lack of increase or reduction in the number of circulating HCV antibodies in a patient's blood are markers of a halt in progression or regression of hepatitis C infection.
• Other hepatitis C disease markers include aminotransferase levels, particularly levels of the liver enzymes AST and ALT.
• Normal levels of AST are from 5 to 40 units per liter of serum (the liquid part of the blood) and normal levels of ALT are from 7 to 56 units per liter of serum. These levels will typically be elevated in a HCV infected patient. Disease regression is usually marked by the return of AST and ALT levels to the normal range.
• Symptoms of hepatitis C that may be affected by an effective amount of a pharmaceutical combination of the invention include decreased liver function, fatigue, flu-like symptoms: fever, chills, muscle aches, joint pain, and headaches, nausea, aversion to certain foods, unexplained weight loss, psychological disorders including depression, tenderness in the abdomen, and jaundice.
• Liver function refers to a normal function of the liver, including, but not limited to, a synthetic function including synthesis of proteins such as serum proteins (e.g., albumin, clotting factors, alkaline phosphatase, aminotransferases (e.g., alanine transaminase, aspartate transaminase), 5′-nucleosidase, y glutaminyltranspeptidase, etc.), synthesis of bilirubin, synthesis of cholesterol, and synthesis of bile acids; a liver metabolic function, including carbohydrate metabolism, amino acid and ammonia metabolism, hormone metabolism, and lipid metabolism; detoxification of exogenous drugs; and a hemodynamic function, including splanchnic and portal hemodynamics.
• serum proteins e.g., albumin, clotting factors, alkaline phosphatase, aminotransferases (e.g., alanine transaminase, aspartate transaminase),
• An effective amount of a combination described herein will also provide a sufficient concentration of the active agents in the concentration when administered to a patient.
• a sufficient concentration of an active agent is a concentration of the agent in the patient's body necessary to prevent or combat the infection. Such an amount may be ascertained experimentally, for example by assaying blood concentration of the agent, or theoretically, by calculating bioavailability.
• the amount of an active agent sufficient to inhibit viral infection in vitro may be determined with a conventional assay for viral infectivity such as a replicon based assay, which has been described in the literature.
• Frequency of dosage may also vary depending on the compound used and the particular disease treated. However, for treatment of most infectious disorders, a dosage regimen of 4 times daily or less is preferred and a dosage regimen of 1 or 2 times daily is particularly preferred.
• Dosage levels of each active agent of from about 0.1 mg to about 140 mg per kilogram of body weight per day are useful in the treatment of the above-indicated conditions (about 0.5 mg to about 7 g per patient per day).
• the amount of active agent that may be combined with the carrier materials to produce a single dosage form will vary depending upon the patient treated and the particular mode of administration. Dosage unit forms will generally contain between from about 1 mg to about 500 mg of each active agent. In certain embodiments 25 mg to 500 mg, or 25 mg to 200 mg of a compound of the invention are provided daily to a patient.
• the specific dose level for any particular patient will depend upon a variety of factors including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, route of administration, and rate of excretion, drug combination and the severity of the particular disease undergoing therapy.
• the invention includes methods of treatment in which a compound or salt of the invention is provided together with one or more additional active agents.
• the invention also includes using pharmaceutical combinations comprising a compound of the invention and at least one additional active agent in prophylactic therapies.
• an effective amount of a compound of the invention is an amount sufficient to significantly decrease the patient's risk of contracting a hepatitis C infection.
• method of treatment includes providing a patient with a compound of Formula I and an interferon such as a pegylated interferon or interferon gamma.
• the interferon may be the only compound provided with the compound of the invention or may be provided with an additional active agent that is not an interferon.
• Patients receiving hepatitis C medications are typically given interferon together with another active agent.
• methods of treatment and pharmaceutical combinations in which a compound of the invention is provided together with an interferon, such as pegylated interferon alfa 2a, as the additional active agents are included as embodiments.
• methods and pharmaceutical combinations in which ribavirin is an additional active agent are provided herein.
• the additional active agent (or agents) used with the compound of the invention is an HCV protease inhibitor or a nucleoside or non-nucleoside HCV polymerase inhibitor.
• HCV protease inhibitors include NS3 protease inhibitors.
• the combination may include an NS3 protease inhibitors such as telaprevir (VX-950) or the combination may include a polymerase inhibitor such as valopicitabine, or NM 107, the active agent which valopicitabine is converted into in vivo.
• NS3 protease inhibitors that may be used together with a compound of the invention include TMC435350 (Tibotec), MK 7009 (Merck), and ITMN-191 (Intermune).
• Other suitable NS3 protease inhibitors include the protease inhibitors discussed in U.S. Ser. No. 11/777,745, filed Jul. 13, 2007, which is hereby incorporated by reference at pages 51-67 for its teachings regarding protease inhibitors that act at NS3.
• NS3 inhibitors discussed in the '745 application include (2S,4R)-1-((S)-2-tert-butyl-4-oxo-4-(piperidin-1-yl)butanoyl)-N-(1-(cyclopropylsulfonylcarbamoyl)-2-vinylcyclopropyl)-4-(7-methoxy-2-phenylquinolin-4-yloxy)pyrrolidine-2-carboxamide; (2R,6R,13aS,14aR,16aS,Z)-N-(cyclopropylsulfonyl)-2-(7-methoxy-2-phenylquinolin-4-yloxy)-5,16-dioxo-6-(2-oxo-2-(piperidin-1-yl)ethyl)-1,2,3,5,6,7,8,9,10,11,13a,14,14a,15,16,16a-hexadecahydrocyclopropa
• Suitable active agents include ciluprevir, SCH 503034 (boceprevir), and teleprevir (Vertex/Janssen/Mitsubishi Tanabe).
• Nucleoside and non-nucleoside polymerase inhibitors that may be used in combination with a compound of the invention include R-7128 (Roche-Pharmasset) and R-1616 (Roche).
• Another active agent that may be used in combination with compounds of the invention is the anti-protozoal compound nitazoxamide (ALINIA).
• ALINIA anti-protozoal compound nitazoxamide
• the compound of the invention and an additional active agent may be: (1) co-formulated and administered or delivered simultaneously in a combined formulation; (2) delivered by alternation or in parallel as separate formulations; or (3) by any other combination therapy regimen known in the art.
• the methods of the invention may comprise administering or delivering the compound of The invention and an additional active agent sequentially, e.g., in separate solution, emulsion, suspension, tablets, pills or capsules, or by different injections in separate syringes.
• an effective dosage of each active ingredient is administered sequentially, i.e., serially
• simultaneous therapy effective dosages of two or more active ingredients are administered together.
• Various sequences of intermittent combination therapy may also be used.
• IDN 6556 Idun Pharmaceuticals
• Cyclophilin Inhibitors NIM811 (Novartis) and DEBIO-025 (Debiopharm)
• Cytochrome P450 monooxygenase inhibitors ritonavir (WO 94/14436), ketoconazole, troleandomycin, 4-methylpyrazole, cyclosporin, clomethiazole, cimetidine, itraconazole, fluconazole, miconazole, fluvoxamine, fluoxetine, nefazodone, sertraline, indinavir, nelfmavir, amprenavir, fosamprenavir, saquinavir, lopinavir, delavirdine, erythromycin, VX-944, and VX-497.
• Preferred CYP inhibitors include ritonavir, ketoconazole, troleandomycin, 4-methyl pyrazole, cyclosporin, and clomethiazole
• Glucocorticoids hydrocortisone, cortisone, prednisone, prednisolone, methylprednisolone, triamcinolone, paramethasone, betamethasone, and dexamethasone
• Hematopoietins hematopoietin-1 and hematopoietin-2.
• Other members of the hematopoietin superfamily such as the various colony stimulating factors (e.g. (e.g. G-CSF, GM-CSF, M-CSF), Epo, and SCF (stem cell factor)
• Immunomodulatory compounds thalidomide, IL-2, hematopoietins, IMPDH inhibitors, for example Merimepodib (Vertex Pharmaceuticals Inc.), interferon, including natural interferon (such as OMNIFERON, Viragen and SUMIFERON, Sumitomo, a blend of natural interferons), natural interferon alpha (ALFERON, Hemispherx Biopharma, Inc.), interferon alpha nl from lymphblastoid cells (WELLFERON, Glaxo Wellcome), oral alpha interferon, Peg-interferon, Peg-interferon alfa 2a (PEGASYS, Roche), recombinant interferon alfa 2a (ROFERON, Roche), inhaled interferon alpha 2b (AERX, Aradigm), Peg-interferon alpha 2b (ALBUFERON, Human Genome Sciences/Novartis, PEGINTRON, Schering), recombinant interfer
• Interleukins (IL-1, IL-3, IL-4, IL-5, IL-6, IL-10, IL-11, IL-12), LIF, TGF-beta, TNF-alpha) and other low molecular weight factors (e.g. AcSDKP, pEEDCK, thymic hormones, and minicytokines)
• IL-1, IL-3, IL-4, IL-5, IL-6, IL-10, IL-11, IL-12 LIF, TGF-beta, TNF-alpha
• other low molecular weight factors e.g. AcSDKP, pEEDCK, thymic hormones, and minicytokines
• Nucleoside analogues Lamivudine (EPIVIR, 3TC, GlaxoSmithKline), MK-0608 (Merck), zalcitabine (HIVID, Roche US Pharmaceuticals), ribavirin (including COPEGUS (Roche), REBETOL (Schering), VILONA (ICN Pharmaceuticals, and VIRAZOLE (ICN Pharmaceuticals), viramidine (Valeant Pharmaceuticals), an amidine prodrug of ribavirin, R-7128 (Roche-Pharmasset), and R-1626 (Roche). Combinations of nucleoside analogues may also be employed.
• Non-nucleoside inhibitors PSI-6130 (Roche/Pharmasset), delaviridine (RESCRIPTOR, Pfizer), and HCV-796 (Viropharm)
• P7 protein inhibitor amantadine (SYMMETREL, Endo Pharmaceuticals, Inc.)
• NM283 valopicitabine
• NM 107 NM 107
• Protease inhibitors BILN-2061 (Boehringer Ingelheim), GW-433908 (prodrug of Amprenavir, Glaxo/Vertex), indinavir (CRIXIVAN, Merck), ITMN-191 (Intermune/Array Biopharma), VX950 (Vertex), MK-7009, ITMN-191, TMC435350, and combinations comprising one or more of the foregoing protease inhibitors
• RNA interference SIRNA-034 RNAi (Sirna Therapeutics)
• Therapeutic Vaccines IC41 (Intercell), IMN-0101 (Imnogenetics), GI 5005 (Glo situmune), Chronvac-C (Tripep/Inovio), ED-002 (Imnogenetics), Hepavaxx C (ViRex Medical)
• TNF agonists adalimumab (HUMIRA, Abbott), entanercept (ENBREL, Amgen and Wyeth), infliximab (REMICADE, Centocor, Inc.)
• Tubulin inhibitors Colchicine
• FTY720 Novartis
• TLR agonists ANA-975 (Anadys Pharmaceuticals), TLR7 agonist (Anadys Pharmaceuticals), CPG10101 (Coley), and TLR9 agonists including CPG 7909 (Coley)
• Cyclophilin Inhibitors NIM811 (Novartis) and DEBIO-025 (Debiopharm)
• Methods of treatment include providing certain dosage amounts of a compound of the invention and at least one additional active agent to a patient.
• Dosage levels of each active agent of from about 0.1 mg to about 140 mg per kilogram of body weight per day are useful in the treatment of the above-indicated conditions (about 0.5 mg to about 7 g per patient per day).
• the amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the patient treated and the particular mode of administration. Dosage unit forms will generally contain between from about 1 mg to about 500 mg of each active agent. In certain embodiments 25 mg to 500 mg, or 25 mg to 200 mg of a compound of the invention are provided daily to a patient.
• the additional active agent is NM 283 (valopicitabine)
• 100 mg to 1000 mg/day, or 200 mg to 800 mg/day, or 200 to 400 mg/day of either of those agents are typically provided to the patient.
• the additional active agent is VX-950
• 1000 mg to 3750 mg/day, or 1200 mg to 1800 mg/day are administered to the patient.
• Treatment regiments in which VX-950 is an additional active agent and about 350 to about 450 mg or about 700 to about 800 mg of VX-950 are administered to a patient three times per day or about 350 to about 450 mg or about 700 to about 800 mg is administered every 12 hours are particularly included in the invention.
• Analytical HPLC is performed using a Waters X-bridge C18 150 ⁇ 4.6 mm 3.5 ⁇ m column with a 20-min linear gradient elution of increasing concentrations of acetonitrile in water (5 to 95%) containing 0.1% trifluoroacetic acid with a flow rate of 1.0 mL/min and UV detection at 254 nm.
• Low-resolution mass spectra are recorded on a Thermo Finnigan Surveyor MSQ instrument (operating in APCI mode) equipped with a Gilson liquid chromatograph. Unless noted otherwise, the quasi-molecular ions, [M+H] + , observed in the low-resolution mass spectra are the base peaks.
• Bromine (17.2 g, 0.11 mol) is added dropwise to a cooled solution (0° C.) of 3-acetylpyridine (12.1 g, 0.1 mol) in acetic acid containing 33% HBr with vigorous stirring.
• the stirring mixture is allowed to warm to 40° C. and maintained at this temperature for 2 hrs and then heated to 75° C. After 2 hrs, the mixture is cooled and diluted with ether (400 ml) to precipitate the product, which is collected by filtration and washed with ether and acetone to give 4 HBr salt as white crystals, which can be used for next step reaction without further purification.
• a Catalytic amount of DMAP (dimethylamine pyridine), triethylamine (2.0 g, 19.7 mmol) in 20 mL CH 2 Cl 2 , and methanesulfonyl chloride (1.95 g, 17.0 mmol) are added dropwise to a solution of 6-hydroxymethyl-nicotinic methyl ester 6 (2.2 g, 13.1 mmol), at ⁇ 78° C. under argon. The mixture is stirred for 5 hours at ⁇ 78° C. and then quenched with 30 mL saturated aqueous sodium bicarbonate. The organic layer is collected and the water phase extracted with CH 2 Cl 2 (2 ⁇ 30 mL). The organic phases are combined and washed with water. The CH 2 Cl 2 solution is dried over MgSO 4 and concentrated to give compound 7, which is used without further purification.
• DMAP dimethylamine pyridine
• triethylamine 2.0 g, 19.7 mmol
• methanesulfonyl chloride 1.95
• 6-dimethylaminomethyl-nicotinic methyl ester 8 (1.75 g, 9.0 mmol) is dissolved in 15 mL methanol; 5 mL 2 N sodium hydroxide is added. The mixture is heated at 90° C. for 1.5 hours and then quickly cooled to room temperature. The solvent is removed under vacuum and the remaining residue is dried by co-evaporated toluene. The solid is used without further purification. A small portion of sample is prepared for analytical use by acidification with 1N HCl, removal of water and drying.
• 6-dimethylaminomethyl-nicotinic Na salt 9 (202 mg, 1 mmol) is suspended in 8 mL CH 2 Cl 2 and 2 drops of DMF is added. The mixture is treated with oxalyl chloride (1.2 mmol) at 0° C. and then warmed to room temperature and allowed to remain at this temperature 1.5 hours. The solvent is removed and the residue suspended in 10 mL THF. Et 3 N (2.2 mmol) is added, followed by TMSCHN 2 (2.5 mmol, 2M solution in ether) which is added at 0° C. The mixture is warmed to room temperature and stirred overnight. The mixture is then cooled to 0° C. and HCl (4.0 mmol, 2M in ether) is added.
• the crude 14 is dissolved in a mixed solvents of ethyl acetate and ethanol (40 ml/20 ml), and 10% Pd/C (1 g) is added, the mixture is hydrogenated under 40 psi at rt for 16 h. The mixture is then filtered through celite and washed with ethyl acetate. The filtrate is concentrated to give crude 15 (10.6 g).
• Step 5 Synthesis of 5-fluoro-N-(4-octyl-3-(trifluoromethyl)phenyl)-4-(pyridin-3-yl)thiazol-2-amine
• Acetylpyridine 120 g is added to 33% HBr/AcOH (600 ml) with stirring (If the salt precipitated you can add more AcOH, 800 ml).
• Bromine 176 g is added and the reaction mixture is heated to 60° C. for 2-3 h. The solution is cooled and ether (1400 ml) is added. The solid is filtered, washed with ether and dried to give the bromo compound, 17, in quantitative yield.
• HCV replicon system was described by Bartenschlager, et. al (Science, 285, pp. 110-113 (1999)).
• the replicon system is predictive of in vivo anti-HCV activity; compounds that are active in humans uniformly evidence activity in the replicon assay.
• HCV replicon containing cells are treated with different concentrations of the test compound to ascertain the ability of the test compound to suppress replication of the HCV replicon.
• HCV replicon-containing cells are treated with different concentrations of interferon alpha, a known inhibitor of HCV replication.
• the replicon assay system includes Neomycin Phosphotransferase (NPT) as a component of the replicon itself in order to detect the transcription of replicon gene products in the host cell.
• NPT Neomycin Phosphotransferase
• Cells in which the HCV replicon is actively replicating have high levels of NPT; the level of NPT is proportional to HCV replication.
• Cells in which the HCV replicon is not replicating also have low levels of NPT and thus do not survive when treated with Neomycin.
• the NPT level of each sample is measured using a captured ELISA.
• the HCV genome consists of a single ORF that encodes a 3000 amino acid polyprotein.
• the ORF is flanked on the 5′ side by an untranslated region that serves as an internal ribosome entry site (IRES) and at the 3′ side by a highly conserved sequence necessary for viral replication (3′-NTR).
• IRS internal ribosome entry site
• 3′-NTR highly conserved sequence necessary for viral replication
• the structural proteins, necessary for viral infection, are located near the 5′ end of the ORF.
• the non-structural proteins, designated NS2 to NS5B comprise the remainder of the ORF.
• the HCV replicon contains, 5′-3′, the HCV-IRES, the neomycin phosphotransferase (neo) gene, the IRES of encephalomyocarditis virus, which directs translation of HCV sequences NS3 to NS5B, and the 3′-NTR.
• GenBank accesion no. AJ242652.
• the replicon is transfected into Huh-7 cells using standard methods such as electroporation.
• the equipment and materials include, but are not limited to, Huh-7 HCV replicon-containing cells, maintenance media (DMEM (Dulbecco's modified Eagle media) supplemented with 10% FBS, L-glutamine, non-essential amino acids, penicillin (100 units/ml), streptomycin (100 micrograms/ml), and 500 micrograms/ml of Geneticin (G418), screening media (DMEM supplemented with 10% FBS, L-glutamine, non-essential amino acids, penicillin (100 units/ml) and streptomycin (100 micrograms/ml)), 96 well tissue culture plates (flat bottom), 96 well plates (U bottom for drug dilution), Interferon alpha for positive control, fixation reagent (such as methanol: acetone), primary antibody (rabbit anti-NPTII), secondary antibody: Eu—N1 1, and enhancement solution.
• HCV replicon-containing cells support high levels of viral RNA replicon replication when their density is suitable. Over-confluency causes decreased viral RNA replication. Therefore, cells must be kept growing in log phase in the presence of 500 micrograms/ml of G418. Generally, cells should be passed twice a week at 1: 4-6 dilution. Cell maintenance is conducted as follows:
• HCV replicon-containing cells are examined under a microscope to ensure that cells growing well.
• Cells are rinsed once with PBS and 2 ml trypsin is added.
• the cell/trypsin mixture is incubated at 37° C. in a CO 2 incubator for 3-5 minutes. After incubation 10 ml of complete media is added to stop the trypsinization reaction.
• Cells are blown gently, put into a 15 ml tube, and spun at 1200 rpm for 4 minutes. The trypsin/medium solution is removed. Medium (5 ml) is added and the cells are mixed carefully. The cells are counted.
• the cells are then seeded onto 96-well plates at a density of 6000-7500 cells/100 microliters/well (6-7.5 ⁇ 10 5 cells/10 ml/plate). The plates are then incubated at 37° C. in a 5% CO 2 incubator.
• HCV replicon-containing cells are rinsed with once PBS once; 2 mls of trypsin are then added. Cells are incubated at 37° C. in a 5% CO 2 incubator for 3-5 minutes. 10 mls of complete medium is added to stop the reaction. Cells are blown gently, put into a 15 ml tube, and spun at 1200 rpm for four minutes.
• the trypsin/medium solution is removed and 5 mls of medium (500 ml DMEM (high glucose)) from BRL catalog #12430-054; 50 mls 10% FBS, 5% Geneticin G418 (50 mg/ml, BRL catalog #10131-035), 5 ml MEM non-essential amino acids (100 ⁇ BRL #11140-050) and 5 ml pen-strep (BRL #15140-148) is added.
• medium 500 ml DMEM (high glucose)
• FBS 50% FBS
• Geneticin G418 50 mg/ml, BRL catalog #10131-035
• 5 ml MEM non-essential amino acids 100 ⁇ BRL #11140-050
• 5 ml pen-strep (BRL #15140-148)
• Cells are plated with screening medium (500 ml DMEM (BRL #21063-029), 50 ml FBS (BRL #10082-147) and 5 ml MEM non-essential amino acid (BRL #11140-050) at 6000-7500 cells/100 ⁇ l/well of 96 well plate (6-7.5 ⁇ 10 5 cells/10 ml/plate). Plates are placed into 37° C. 5% CO 2 incubator overnight.
• screening medium 500 ml DMEM (BRL #21063-029), 50 ml FBS (BRL #10082-147) and 5 ml MEM non-essential amino acid (BRL #11140-050) at 6000-7500 cells/100 ⁇ l/well of 96 well plate (6-7.5 ⁇ 10 5 cells/10 ml/plate). Plates are placed into 37° C. 5% CO 2 incubator overnight.
• drugs test compounds or interferon alpha
• media or DMSO/media depending on the final concentration chosen for screening. Generally for 6 concentrations of each test compounds ranging from 10 micromolar to 0.03 micromolar are applied. 100 ⁇ l of the test compound dilution is placed in wells of the 96 well plate containing the HCV replicon cells. Media without drug is added to some wells as a negative controls.
• DMSO is known to affect cell growth. Therefore, if drugs diluted in DMSO are used, all wells, including negative control (media only) and positive control (interferon alpha) wells, must contain the same concentration of DMSO, for single dose screening.
• the plates are incubated at 37° C. in a humidified 5% CO 2 environment for three days.
• the NTPII assay is quantitated.
• the medium is poured from the plates and the plates are washed once in 200 ⁇ l of PBS.
• the PBS is then decanted and the plates tapped in a paper towel to remove any remaining PBS.
• Cells are fixed in situ with 100 ⁇ l/well of pre-cooled ( ⁇ 20° C.) methanol:acetone (1:1) and the plates are placed at ⁇ 20° C. for 30 minutes.
• the fixing solution is poured from the plates and the plates allowed to air-dry completely (approximately one hour).
• the appearance of the dried cell layer is recorded and the density of the cells in the toxic wells is scored with the naked eye.
• cell viability may be assessed using the MTS assay described below.
• the wells are blocked with 200 ⁇ l of blocking solution (10% FBS; 3% NGS in PBS) for 30 minutes at room temperature.
• the blocking solution is removed and 100 ⁇ l of rabbit anti-NPTII diluted 1:1000 in blocking solution is added to each well.
• the plates are then incubated 45-60 minutes at room temperature. After incubation, wells are washed six times with PBS-0.05% Tween-20 solution.
• 100 ⁇ l of 1:15,000 diluted Europium (EU)-conjugated goat anti-rabbit in blocking buffer is added to each well and incubated at room temperature for 30-45 minutes.
• the plates are washed again and 100 ⁇ l of enhancement solution (Perkin Elmer #4001-0010) is added to each well.
• Each plate is shaken (approx. 30 rpm) in a plate shaker for three minutes.
• 95 ⁇ l is transferred from each well to a black plate; the EU signal is quantitated in a Perkin-Elmer VICTOR plate reader (EU-Lance
• Example 4 Compounds described in the “TABLE OF COMPOUNDS” is Example 4 have been tested in an HCV replication assay, essentially as described in this example.
• table +++ indicates inhibition of HCV replicon replication of less than 1 micromolar
• ++ indicates inhibition of less than 10 micromolar to 1 micromolar
• + indicates inhibition greater than 10 micromolar.
• Cellular protein albumin measurements provide one marker of cytotoxicity.
• the protein levels obtained from cellular albumin assays may also be used to provide a normalization reference for antiviral activity of compounds.
• HCV replicon-containing cells are treated for three days with different concentrations of helioxanthin; a compound that is known to be cytotoxic at high concentrations.
• the cells are lysed and the cell lysate used to bind plate-bound goat anti-albumin antibody at room temperature (25° C. to 28° C.) for 3 hours.
• the plate is then washed 6 times with 1 ⁇ PBS. After washing away the unbound proteins, mouse monoclonal anti-human serum albumin is applied to bind the albumin on the plate.
• the complex is then detected using phosphatase-labeled anti-mouse IgG as a second antibody.
• Cell viability may also be determined by CELLTITER 96 AQUEOUS ONE Solution Cell Proliferation Assay (Promega, Madison Wis.), a colorimetric assay for determining the number of viable cells.
• CELLTITER 96 AQUEOUS ONE Solution Cell Proliferation Assay Promega, Madison Wis.
• a colorimetric assay for determining the number of viable cells.
• 10-20 ⁇ l MTS reagent is added to each well according to manufacturer's instructions, plates are incubated at 37° C. and read at OD 490 nm. During the incubation period living cells covert the MTS reagent to a formazan product which absorbs at 490 nm.
• the 490 nm absorbance is directly proportional to the number of living cells in culture.
• a direct comparison of the Cellular Album and MTS methods for determining cytotoxicity may be obtained as follows: Cells are treated with different concentrations of test compound or Helioxanthin for a three day-period. Prior to lysis for detection album as described above, the MTS reagent is added according to manufacturer's instruction to each well and incubate at 37° C. and read at OD 490 nm. The cellular album quantitation is then performed as described above.

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